Individual provider Active NPI

Dante Aliesh Peterson, APRN,FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Pawtucket, RI
National Provider Identifier
1336578749
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPP37817 Issued in RI
Practice address
700 Narragansett Park Dr Ste 100
Pawtucket, RI 02861-4326
Phone
(401) 542-2655
Fax
(475) 275-7187
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN03766 RI
Family Nurse Practitioner 363LF0000X NPP37817 RI Primary

Addresses

Primary practice location

700 Narragansett Park Dr Ste 100
Pawtucket, RI 02861-4326

Mailing address

136 Lewiston St
Warwick, RI 02889-6026
Phone (401) 391-6078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140822000816 RI Practitioner - Nurse Practitioner 6800014473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPP37817RIMDFamily Nurse Practitioner
APRN03766RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carelink, Inc. Current Accepting new patients
Psych Solutions LLC Psychiatric/Mental Health CurrentSince Sep 8, 2025 Accepting new patients
Plaza Psychology & Psychiatry, Inc. Psychiatric/Mental Health PastSince Dec 1, 2024 Accepting new patients

Locations

47 Wood Ave
Ste 2
Barrington, RI 02806
Phone (401) 217-2388

400 Massasoit Ave
Ste 300B
East Providence, RI 02914

400 Massasoit Ave
Ste 113
East Providence, RI 02914
Phone (401) 490-4610

700 Narragansett Park Dr
Ste 100
Pawtucket, RI 02861
Phone (203) 626-5581

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1336578749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 LEWISTON ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028896026",
            "telephone_number": "401-391-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NARRAGANSETT PARK DR STE 100",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614326",
            "telephone_number": "401-542-2655",
            "fax_number": "475-275-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DANTE ALIESH",
        "name_prefix": "Mrs.",
        "credential": "APRN,FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN03766",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP37817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.